Provider Demographics
NPI:1225266190
Name:ARROYAVE, ALEJANDRA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:ELIZABETH
Last Name:ARROYAVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 HAYNES ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4131
Mailing Address - Country:US
Mailing Address - Phone:860-533-3494
Mailing Address - Fax:860-647-6831
Practice Address - Street 1:71 HAYNES ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4131
Practice Address - Country:US
Practice Address - Phone:860-533-3494
Practice Address - Fax:860-647-6831
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00502562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004025177Medicaid
CT004041729Medicaid
CT007228711Medicaid
CT004041885Medicaid
CT007228711Medicaid
CT004041885Medicaid
CTD400149036Medicare PIN